prevalence of autonomic dysreflexia in patients with spinal cord injury above t6 2017 eun sun lee文献.pdf

该【prevalence of autonomic dysreflexia in patients with spinal cord injury above t6 2017 eun sun lee文献 】是由【湘云】上传分享，文档一共【7】页，该文档可以免费在线阅读，需要了解更多关于【prevalence of autonomic dysreflexia in patients with spinal cord injury above t6 2017 eun sun lee文献 】的内容，可以使用淘豆网的站内搜索功能，选择自己适合的文档，以下文字是截取该文章内的部分文字，如需要获得完整电子版，请下载此文档到您的设备，方便您编辑和打印。HindawiBioMedResearchInternationalVolume2017,ArticleID2027594,6pageshttps:///,WonkwangUniversitySchoolofMedicine,895Muwang-ro,Iksan,Jeonbuk54538,RepublicofKorea2DepartmentofRehabilitationMedicineandInstituteofWonkwangMedicalScience,WonkwangUniversitySchoolofMedicine,895Muwang-ro,Iksan,Jeonbuk54538,RepublicofKoreaCorrespondenceshouldbeaddressedtoMinCheolJoo;******@Received21July2017;Accepted3October2017;Published26October2017AcademicEditor:AntonioSalgadoCopyright?,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,(AD)usingambulatorybloodpressuremonitoring(ABPM)andtheautonomicdysfunctionfollowingspinalcordinjury(ADFSCI)questionnaireinpatientswithspinalcordinjury(SCI)-,systolicbloodpressure(SBP),diastolicbloodpressure,andheartrate(HR)weremeasuredat30-,,±±±,respectively,-vasculardisease[11].Ingeneral,thediagnosticdefinitionofAutonomicdysreflexia(AD)monlyADisariseinSBPbymorethan20–40mmHg[5].However,occursinpatientswithspinalcordinjury(SCI),especiallyconsideringthatthebaselineBPofpatientswithcervicalinthecervicalandupperthoraciclevelaboveT6[1,2].ItisorupperthoracicSCIhasbeenreportedtobelowerthananacutediseasewithsymptomsrangingfrommild,suchasthatofhealthypersonsby15–20mmHg[6,7],normalorheadache,sweating,hotflashes,piloerection,andanxiety,toslightlyelevatedBPcanbediagnosedasADinpatientssevere[3–7],suchasarrhythmia,includingatrialfibrillation,-timeassessments,suchasindividualBPandhighsystolicbloodpressure(SBP)above300mmHg,measurement,whichareclinicallypracticedcurrently,orwhichmayleadnotonlytocerebralhemorrhagebutalsotodiagnosisdependingonpatients’symptoms,arenotsufficientconvulsionsanddeath[8–10].,,theunderlyingcausesrecentreportproposingamethodtoassesssuchinstabilityofcardiovasculardiseaseareduetoabnormalbloodpressurethroughlong-termandreal-timemeasurementsofBPin(BP)controlsuchasADandorthostatichypotension(OH).ApatientswithSCIusingcircadianBPprofilesandambulatoryhighprevalenceofarrhythmiaandabnormalcardiovascularbloodpressuremonitoring(ABPM)[12].ABPMisanautomated,noninvasiverecordedasthenumberofincidencesduringthedaytimeassessmentmethod,(HR),inthisstudy,,ADcriteriainestimatetheprevalenceofADbyexaminingitsincidenceratePartIIIoftheADFSCIwereused[13].,theincidencerateofsymptomaticwerethepresenceorabsenceandfrequencyofthefollowingorasymptomaticADwasexaminedusingtheautonomicsymptoms,whichincludedheadache,excessivesweatingindysfunctionfollowingspinalcordinjury(ADFSCI)ques-thebodyabovetheareaofSCI,goosebumpsoranxiety,andtionnaire[13]-(0:notatall;5:veryoften,verysevere)witharangeof0～204points,,,(IBMSPSS,Armonk,NY,USA)wasusedandthestatisti-forthesubjectswereasfollows:(i)patientsdiagnosedcalsignificancewassetat??<;(ii)patientageatleast19usingthepaired??-testandintergroupdifferencesdependingyears;(iii)plicationssuchaspneumoniaonthedurationofsymptomsandthepresenceorabsenceofandurinarytractinfections;and(iv)neurologicallystableADsymptomswereanalyzedusingtheindependent??--Themedicalrecordofeachpatientincludingthedemo-±(age,sex,causeofSCI,durationofSCI,(range:31–77),8and20etc.)wasrecordedandABPMandADFSCIquestionnairepatientshadSCIduetodiseaseandtrauma,±(AIS).distributionbydurationofSCI,(IRBnumber:201601-HR-004)ofWonkwangthesubacuteandchronicgroups,,andpatientssignedawrittenconsentlevelofinjury,,4patientswereaboutthepurpose,methods,pleteSCI()pleteSCI(AISgradesCandD)(Table1).-hourSBP,DBP,±,±,andForABPM,aBR102plus(Schiller-ReomedAG,Baar,Zug,±,,DBP,andHRSwitzerland)±,±,±ofthepatientusingacuffofanappropriatesize,andSBP,,respectively,andthenighttimeSBP,DBP,andHRdiastolicBP(DBP),andHRwererecordedwithina24-±,±,±-,-hourperiodbetween7::00SBPandDBPwerehigherthanthedaytimevalues,,,DBP,andHRweremeasuredHRwasstatisticallysignificantlylower??(<).Twenty-,thepatientswereinstructedsixofthe28patients(%)hadADatleastonceandthetopressthebuttonforself-±±±(Table2).Generalcharacteristics20mmHg[2]andthebaselineBPwasobtainedbycalculatingofADandnon-ADgroupswereage(),maletheaveragesofSBPmeasuredduringthe12hoursbothinsex(75%versus100%),causeofSCI(trauma=%versusBioMedResearchInternational3Table1:parisonofABPMvaluesinsubacuteandchronicSCI.(??=28).DaytimeNighttime24hDemographicfactorValueSBP?Gender(male:female)22:±±±±(yr)±±±(spontaneous:traumatic)8:±(mo)±±±±±±??±±±?±±±±±±(gradesAandB)±±±?plete(gradesCandD)Valuesarepresentedasmean±standarddeviationornumber.
?<??Valuesarepresentedasmean±:and
?<,significantdifferencebetweenthedaytimevaluesandthe?.
?<,:systolicbloodpressure;DBP:diastolicbloodpressure;HR:heartrate;AD::±,±±±±(Table3).±±±±±?±±±±,±?Valuesarepresentedasmean±standarddeviationornumber.
?<,±,respectively,±±,respectively,inSBP:systolicbloodpressure;DBP:diastolicbloodpressure;HR:heartrate;,SBPandDBPAD:±±,respectively,±±,respectively,%),anddurationofSCI().Thepercentagewerehigherthanthecorrespondingdaytimevalues,%versus100%betweenADandnon-,itwasfoundthatdaytime,%versus25%betweenADandnon-nighttime,and24-(??<).,±(??>).±,respectively,±,±±,respectively,±,±,,DBPwerehigherthanthecorrespondingdaytimevalues,±,±;however,nighttime,±(Table4).inthechronicgroup,,±±±(%)symptomatic(??<);however,inthechronicgroup,therewasnopatientshadatotalscoreofatleast1pointandtwelve(%)(??>).characteristicsofADandnon-ADgroupswereage(±),malesex(69%%),±,(trauma=%%),anddurationofSCI(±).%versusInthechronicgroup,±%betweenADandnon-±±±±±±???plet